Chuang & Lucht Dentistry Family Dental Care New Patient Forms – Dr. Shue Jen Chuang & Dr. David W. Lucht | 703-803-9223
Dr. Shue Jen Chuang  & Dr. David W. Lucht   | 703-803-9223

Dr. Shue Jen Chuang & Dr. David W. Lucht | 703-803-9223

Family & Cosmetic Dentistry | 13880 Braddock Road, Suite 311 | Centreville, VA 20121

Menu

Skip to content
  • Home
  • New Patient Forms
  • Services
  • Contact Us
  • About Us
    • Beatriz RDA
    • Kim
    • Rajan
    • Kristin
    • Dr Chuang
    • Dr. Lucht
  • Information
    • Insurance
    • Directions
    • Educational
    • Dental Emergencies
  • Specials
  • Reviews & Testimonials
  • Kim
  • Covid-19 Virus precautions

New Patient?  Welcome to our office!  If you wish to expedite your visit,  prior to coming to our office, please click on the PDF links below, fill out your health history and information then bring a copy with you to the office.  Please fill out all forms below.  Thank you.  You can also check our new patient specials page.

Dental History Form

HIPPA Form

Insurance Disclaimer

Covid -19 form

Covid-19 prevention plan, please read

OFFICE HOURS

Mon 8-5
TUES 8-7
WEDS 8-2
THURS 8-7
FRI 8-5
SAT 8-2 2xMTH

Call Us Today!

703-803-9223